Key Messages

What is the challenge we face?

• There are approximately 63,000 doctors and dentists in training.
• 10 moves during the course of their training.
• 2 moves per year between NHS organisations.
• 6 employment checks.
• 11 core skills training subjects.
• 2 estimated days per rotation on duplication.
• £26m+ estimated lost trainee time per annum.
• 66 medical specialisms.
• 230+ organisations.

Case for change

Commitment to NHS staff - The Long Term Plan commits to enable staff to more easily move from one NHS employer to another:

• 2016 Junior doctor contract to "streamline processes for recruitment and induction."
• Carter and Getting It Right First Time requires elimination of unwarranted variation.
• Making our administration practices more efficient and effective.

Improving staff experience - Ensure staff feel part of the NHS as well as part of their local employing organisation:

• Ensure staff feel their time is valued.
• Eliminate unnecessary duplication.
• Improve consistency of staff experience.

Better use of time - An average of 1 day of doctors' time lost each time they rotate:

• Agency backfill for lost days.
• Up to 50% of admin teams time taken up.

Unlock systematic barriers - Getting policies, systems and processes working for our people:

• Partnership approach to solving systemic issues.
• Using all levers at our disposal.
• Organising people to act collectively.
• Developing system leadership capability.